Characterization of term newborn with diagnosis of feeding intolerance in first week of life/Caracterización de recién nacidos a termino con diagnostico de intolerancia a la via oral en su primera semana de vida

• Published in: Universitas médica Vol. 57; no. 4; p. 480
• Main Authors: Corredor, Johana Paola Orozco, del Pilar Montealegre Pomar, Adriana, Gomez, Ana Maria Quintero, Arbelaez, Camilo Andres Arevalo
• Format: Journal Article
• Language: Spanish
• Published: Pontificia Universidad Javeriana 01.10.2016
• ISSN: 0041-9095
• DOI: 10.11144/Javeriana.umed57-4.crni

Introduction: The diagnosis of feeding intolerance in at term newborns is not based on the operational definition. There are not studies on risk factors. Objective: To characterize term newborns hospitalized with a diagnosis of feeding intolerance. To develop a quality analysis about diagnostic and to establish real incidence. Design and Methods: Retrospective cohort between 2011 and 2013. Prenatal, intrapartum, and postpartum variables were analyzed as well as if the diagnosis met the criteria for the operational definition. Results: 11.3% of patients showed feeding intolerant, only 33% met the operational definition. The annual incidence was between 3.5% and 4.4%. In the characterization of the population, the most common variables were: consumption of artificial feeding (88%), maternal history of regional anesthesia (69%), jaundice (61%), male sex (58%), cesarean delivery (57%), and hypoglycemia (53%). Conclusions: The incidence was similar to the one in other countries. 66% of patients did not meet the operational definition. Analytical depth studies exploring causal relationship are required. Key words: intolerance, feeding, infant term birth, risk factors. Introduccion: El diagnostico de intolerancia a la via oral en los recien nacidos a termino no se basa en la definicion operativa. No hay estudios sobre factores de riesgo. Objetivo: Caracterizar a recien nacidos a termino hospitalizados con diagnostico de intolerancia a la via oral. Analizar la calidad sobre este diagnostico y establecer su incidencia real. Diseno y metodologia: Cohorte retrospectiva entre 2011 y 2013. Se analizaron variables prenatales, intraparto y postparto y si el diagnostico cumplia con los criterios de la definicion. Resultados: El 11,3% de los pacientes tenia intolerancia a la via oral, y solo el 33% cumplia con la definicion operativa. La incidencia anual estimada estuvo entre el 3,5% y el 4,4%. En la caracterizacion de la poblacion, las variables mas frecuentes fueron: consumo de formula lactea (88%), antecedente materno de anestesia regional (69%), ictericia (61%), sexo masculino (58%), parto por cesarea (57%) e hipoglucemia (53%). Conclusiones: La incidencia real es similar a otros paises; el 66% de los pacientes no cumplia con la definicion operativa. Se requieren estudios analiticos que exploren la relacion causal con las variables mas frecuentes. Palabras clave: alimentacion, intolerancia, recien nacido, factores de riesgo.